Thursday, February 18, 2010
Ultimately, we, as medical professional need to stop telling people to lose weight and tell them how to lose weight. We have to start educating. If every patient learned about the consequences of over eating and ways to eat better, obesity would become extinct.
Behavior change is the key. Not pills, shots, exhaustive exercise regimes or extreme diet. I have been working with a local counselor Kari Anderson who specializes in cognitive behavior therapy. My Balanced Life Counseling.
Together we have created a comprehensive 12 week program whose goal is behavior change for the future. Participants will lose weight but we will not be focusing on pounds per se.
Please see her website for program details:
My balanced life counseling programs
Bryan Glick, DO
Please read the article below:
Bryan Glick, DO
Tuesday, February 16, 2010
One of the more reliable tools that physicians can use to determine pre-test probability is the Centor criteria:
Fever +1 point
Absence of cough +1
anterior cervical lymphadenopathy +1
Age <15 +1
Age >45 -1
Let me explain.
Fever- A fever is defined as a temperature of 100.4 F or higher. Also, some data has suggested that the patients report of feeling feverish is also significant regardless of an actual value.
Exudate- Exudates are physical exam findings that show white stuff on your throat. Remember, there are many things that can cause white stuff in the throat, but white stuff on your tonsil with the other findings at the same time is more concerning for strep.
Absence of cough-This history is important because typically a cough is viral and less likely strep.
Ant. cervical lymphadenopathy-This is when you can feel lymph nodes in your neck and they are tender and painful to the touch.
Age <15- More likely strep
Age >15- Less likely strep
Why is all this important?
There is a rare complication to strep throat which left untreated could lead to rheumatic heart disease and can cause complications later in life.
Depending on the number of points, physicians can decide whether or not to treat with antibiotics.
If all the points are present the physician will usually treat. If there is 2 or 3 points some physicians will use a rapid strep in office to get results in minutes. If 1-2 points present, watch and wait is a more prudent approach. Some physicians, especially pediatricians will send a throat culture. This is different than the above rapid strep. This culture is collected in the office and sent to the lab and results can take 3 days. Based on the culture results, physicians will then call mom and call in a prescription for antibiotics.
If you have the above symptoms concurrently, you should call your doctor and be seen. Strep or not, there are many remedies to help patients with sore throats.
Read more from this patient information sheet from the AAFP.org:
Bryan Glick, DO, MBS
Saturday, January 23, 2010
Pros: Easy to Transport, Lightweight, Durable, Large Capacity, Good Zippers
Best Uses: Home visits as a doctor
I am a Family physician that sees patients at home when requested. This bag allows me to carry everything I need to care for my patients.
I was pleasantly surprised to see the color was camo green. The web photo looks like beige/brown. I like the green better.
Friday, January 22, 2010
The HCG diet is now becoming a popular diet promoted for quick and easy weight loss. It combines a very low calorie diet of 500-800 calories daily with injections of the prescription drug human chorionic gonadotropin (HCG). HCG is often referred to as the "pregnancy hormone" because it is the hormone measured in home pregnancy tests. Proponents suggest that HCG decreases hunger, enhances weight loss, and shifts body fat from thighs and buttocks to other parts of the body. But clinical research shows that HCG does NOT improve weight loss or redistribute fat. Explain to patients that consuming a very low-calorie diet can cause short-term weight loss, but it is not a sustainable long-term weight solution.
Doesn't sound like a good idea.
The only true way to lose weight is through behavior modification.
Bryan Glick, DO